CTR047096_COI_GL_WC_Exp_052025.pdf
PDF 122 KB Posted
- Attached to
- Master Agreement AZ|CTR047096
- Contract number
- CTR047096
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for All About People, Inc., issued by Creative Benefits and Insurance Solutions on 05/08/2024. The insurance covers multiple policies for the company, with the State of Arizona Department of Health Services listed as the certificate holder. The insurers include Everest Indemnity Insurance Company, Everest National Insurance Company, and Wesco Insurance Company.
The insurance certificate provides comprehensive coverage including General Liability, Professional Liability, Automobile Liability, Umbrella/Excess Liability, Workers Compensation, Crime, and Employment Practices Liability. Key coverage limits include $1,000,000 for General Liability and Professional Liability, $5,000,000 for Umbrella Liability, and $2,000,000 aggregate for Employment Practices Liability. The policies are effective from 05/12/2024 to 05/12/2025, with additional Cyber Liability Insurance underwritten by Underwriters at Lloyd's, London, providing a $2,000,000 limit. The State of Arizona is named as an Additional Insured, with policies including Waiver of Subrogation endorsements and 30-day notice of cancellation provisions.
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Text version
05/08/2024
Creative Benefits and Insurance Solutions 45170 Cass Avenue Utica MI 48317
(586) 992-0404
Everest Indemnity Insurance Company Everest National Insurance Company Wesco Insurance CompanyAll About People, Inc.
4422 E. Indian School Road, Suite 101 Phoenix AZ 85018-
10851 10120 25011
John Mielke jmielke@cbis-lc.com
(586) 992-0606
X X
X Professional Liab.
X
X 91MLN01142-241A 05/12/2024 05/12/2025 1,000,000
200,000
10,000 1,000,000 2,000,000 2,000,000
PROFESSIONAL LIAB* 1,000,000
X X
X 91MLN01142-241A 05/12/2024 05/12/2025 1,000,000
X
X X 91EXN00344-241A 05/12/2024 05/12/2025 5,000,000
5,000,000
X WWC3720377C 05/12/2024 05/12/2025 X
1,000,000 1,000,000 1,000,000
Crime, incl. Third Party coverage Employment Practices Liability
91CR000102-241B 05/12/2024 05/12/2025
91MLN01142-241A 05/12/2024 05/12/2025
POLICY LIMIT 1,000,000
PER CLAIM LIMIT 1,000,000
AGGREGATE LIMIT 2,000,000
* The Excess Liability policy provides excess General Liabiity, Professional Liability, Automobile Liability and Employers Liability over the limits shown above.
Cyber Liability Insurance underwritten by Underwriters at Lloyd's, London, policy # ESM0739954540, 05/12/2024 to 05/12/2025. Limit of Liability: $2,000,000.
The State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are named as Additional Insured with respect to the Named Insured's operations. General Liability, Auto Liability and Workers Compensation policies include Waiver of Subrogation endorsements. Coverage evidenced herein shall be primary and non-contributory with any other insurance that may be available to the foregoing. 30 Days Notice of Cancellation applies except for Non-Payment of Premium which is 10 Days.
AI 1651
Arizona Department of Health Services 150 N. 18th Ave., Suite 260 Phoenix AZ 85007-
State of Arizona
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSR WVD
DATE (MM/DD/YYYY)
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY $PREMISES (Ea occurrence)
CLAIMS-MADE OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
$PRO-POLICY LOCJECT
COMBINED SINGLE LIMIT
$(Ea accident)
BODILY INJURY (Per person) $ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOS
HIRED AUTOS
NON-OWNED PROPERTY DAMAGE $AUTOS (Per accident)
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
WC STATU- OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
Y / N N / A
(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2010/05)
CERTIFICATE OF LIABILITY INSURANCE
File details come from the government source that posted it. Updated .